MHMMI_Specialist, Financial Clearance I
3 days ago
This is a fully remote position, must be within driving distance of West MI.
Shift: Day shift, 930am-6pm. First two weeks of EPIC training are M-F, 8a-430pm.
Purpose
Uses specialized knowledge to support key areas of the organization related to an area of expertise. Uses data, research analysis, critical thinking & problem-solving skills to support colleagues & leadership in achieving organization's strategic objectives. Serves as a peer influencer & may direct a project or project team by applying industry experience & specialized knowledge.
Specialist I
- Must possess a comprehensive knowledge of financial clearance and insurance verification processes with two (2) years of financial clearance experience in an acute care setting.
- Responsible for all pre-service account's financial clearance and collection prior to the date of service
- Obtains and verifies accurate insurance information, benefit validation, authorization, and preservice collections.
- Begins the overall patient experience and initiates the billing process for any services provided by the hospital.
Minimum Qualifications
- High School Diploma or equivalent.
- Two (2) to Five (5) years experience in area of expertise such as scheduling, financial clearance, or patient access.
- National certification in HFMA CRCR or NAHAM CHAA required within one (1) year of hire.
- Must be proficient in the use of Patient Registration/Patient Accounting systems and related software systems.
Additional Qualifications (nice to have)
- Associates Degree, preferred.
- Comprehensive knowledge of scheduling with mastery in at least three (3) or more modalities and insurance verification processes with three (3) years scheduling experience in an acute care setting
- Experience in complex facility based ancillary testing across multiple facilities/states
- Strong knowledge of third-party and government payer billing and reimbursement guidelines as well as department performance standards and policies and procedures.
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
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